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SHIVA G GOLSHANI-HEBRONI M.D.
NPI 1184783086
General Practice in Los Angeles, CA

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
11833 WILMINGTON AVE, LOS ANGELES, CA 90059(310) 678-8672 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shiva G Golshani-hebroni M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIVA G GOLSHANI-HEBRONI M.D. (NPI 1184783086) is an individual general practice provider in Los Angeles, California, licensed in California (G078243) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1992).

NPPES Registry Identity

NPI1184783086
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSHIVA G GOLSHANI-HEBRONICredential: M.D.
Location Address11833 WILMINGTON AVELos Angeles, CA 90059-3015
Mailing Address11833 Wilmington AveLos Angeles, CA 90059-3015
Phone(310) 678-8672
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1992
Enumeration DateDecember 6, 2006
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1184783086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G078243
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License G78243 (CA)
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License G078243 (CA)
11833 WILMINGTON AVE, Los Angeles, CA 90059
Open in Google Maps ↗

Other Identifiers 1

OtherCMS169253CA · Ca Medi-cal

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shiva G Golshani-hebroni M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759444672
PECOS Enrollment IDI20090120000275
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shiva Golshani-hebroni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles County Department Of Public Health
9.3 mi
Public Health & General Preventive Medicine
241 N FIGUEROA ST
Los Angeles, CA 90012
  • Reassigned Medicare billing, California enrollment
  • 60 clinicians in this Medicare group
NPI 1962109033 (213) 240-8204

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONDESSA CURLEY M.D.
Family Medicine
11833 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 568-8704
MRS. REGINA UMUKORO NP
Nurse Practitioner (Psychiatric/Mental Health)
11833 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 552-8714
ADITYA JONES D.O.
Internal Medicine (Infectious Disease)
11833 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 568-8727
MS. MARCIA VIANA FNP
Nurse Practitioner (Family)
11833 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 803-9299
DR. DAVID LEE FULLER II M.D.
Internal Medicine (Infectious Disease)
11833 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 318-0442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shiva Golshani-hebroni's NPI number?

The NPI number for Shiva Golshani-hebroni is 1184783086. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Shiva Golshani-hebroni located?

Shiva Golshani-hebroni practices at 11833 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 678-8672.

What is Shiva Golshani-hebroni's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Shiva Golshani-hebroni enrolled in Medicare?

Yes. Shiva Golshani-hebroni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shiva Golshani-hebroni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shiva Golshani-hebroni reassigns Medicare benefits to Los Angeles County Department Of Public Health (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shiva Golshani-hebroni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shiva Golshani-hebroni was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.